| NPI | 1871945162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK GLENN Director Of Pharmacy 580-220-6226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: OK 14328) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 14328) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-07-11 |